Bannerman, Alfred Clayton
Bannerman, Alfred Clayton is an sole proprietor health care provider with primary practice located at 8900 Van Wyck Expressway , Jamaica NY 11418-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bannerman, Alfred Clayton can be contacted via phone (718) 206-7089.Contact Information
Primary practice address
8900 Van Wyck Expressway
Jamaica NY 11418-2832
Phone: (718) 206-7089
Fax: (718) 206-7055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 111142 | New York |
Profile Details
NPI number | 1649231366 |
---|---|
LBN Legal business name | Bannerman, Alfred Clayton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2006 |
Last updated | Nov 25th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649231366 | NPPES |
Colorado | MEDICAID | 14071762 | |
Colorado | MEDICAID | 42551056 | |
Colorado | MEDICAID | 084255 |
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